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MentalHealthNursing10thEditionByKarynI.
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Morgan; Mary C. Townsend
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TESTBANK b
,Table of Contents
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I. BASICCONCEPTS IN PSYCHIATRIC-MENTAL HEALTH NURSING
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1. The ConceptofStress Adaptation
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2. Mental Healthand Mental Illness: Historical and Theoretical Concepts
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II. FOUNDATIONSFOR PSYCHIATRIC-MENTAL HEALTH NURSING b b b b
3. Concepts of Psychobiology b b
4. Psychopharmacology
5. Ethical and Legal Issues
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III. THERAPEUTICAPPROACHES INPSYCHIATRIC NURSING CARE b b b b b
6. Relationship Development b
7. Therapeutic Communication b
8. The Nursing Process inPsychiatric-Mental Health Nursing
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9. Therapeutic Groups b
10. Interventionwith Families b b
11. Milieu Therapy—The Therapeutic Community
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12. Crisis Intervention b
13. Assertiveness Training b
14. Promoting Self Esteem b b
15. Anger and Aggression Management
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16. Suicide Prevention b
17. Behavior Therapy b
18. Cognitive Behavioral Therapy b b
19. Electroconvulsive Therapy b
20. The Recovery Model
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IV. NURSINGCARE OFPATIENTS WITHALTERATIONS IN PSYCHOSOCIAL ADAPTATION b b b b b b b b
21. CaringforPatientswithMentalIllnessand SubstanceUse DisordersinGeneral Practice Settings
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22. Neurocognitive Disorders b
23. Substance-Related and Addictive Disorders b b b
24. Schizophrenia Spectrum and Other Psychotic Disorders b b b b b
25. Depressive Disorders b
26. Bipolar and Related Disorders b b b
27. Anxiety, Obsessive-Compulsive, and Related Disorders
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28. Trauma and Stressor-Related Disorders
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29. Somatic Symptom and Dissociative Disorders
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30. Eating Disorders b
31. Personality Disorders b
V. PSYCHIATRIC/MENTALHEALTHNURSING OF SPECIAL POPULATIONS b b b
32. Children and Adolescents b b
33. The Aging Individual
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34. Survivors of Abuse or Neglect b b b b
35. CommunityMental Health Nursing b b b
36. The Bereaved Individual
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37. Military Families b
eBookBonus Chapters
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38. Theoretical Models of Personality Development b b b b
39. Culturaland Spiritual Concepts Relevant to PsychiatricMental Health Nursing
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40. Complementary and Psychosocial Therapies b b b
41. Relaxation Therapy b
42. Issues Related to Human Sexuality and Gender Dysphoria
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43. Forensic Nursing b
,Chapter1. TheConcept ofStress Adaptation
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MULTIPLE CHOICE b
1. Aclient has experienced the death of a close family member and at the same timebecomes
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unemployed.Theclient’s 6-monthscoreonthe RecentLifeChanges Questionnaireis 110. Thenurse:
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Understands the client is at risk forsignificant stress-related illness. Determines the
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client is not at risk forsignificant stress-related illness.
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Needsfurtherassessment oftheclient’scopingskills todeterminesusceptibilitytostress-related
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illness.
b
Recognizesthe client may viewthelosses as challenges and perceivethem asopportunities.
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ANS:3 b
Chapter:Chapter1,TheConceptof Stress Adaptation
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Objective:Explaintherelationship betweenstress anddiseases ofadaptation.Page: 5
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Heading: Stress as an Environmental Event IntegratedProcesses: NursingProcess:EvaluationClient Need:
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Psychosocial Integrity
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CognitiveLevel:Application[Applying]Concept:StressDifficulty: b b
Moderate
b
Feedback
1. This is incorrect. Assessment is thefirst stepof thenursing process. The nurse should
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assesstheclient’scoping skillsandavailablesupportbeforedetermining susceptibility to
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stress-related physical and psychological illnesses. The Recent LifeChanges
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Questionnaire is an expanded version of the Schedule of Recent Experiences and the
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Rahe-Holmes Social Readjustment RatingScale.A6-month scoreof300 ormoreora
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year-score total of 500 or more indicates high stress in a
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client’slifeand susceptibilitytostress-related illnesses.
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2. This is incorrect. Assessment is the first step in the nursing process. The nurse should
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assess the client’s coping skills and available support before determining the client’s
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perceptionofthecurrent stresses. A6-monthscoreof300ormoreorayear-scoretotal of 500 or
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more on the Recent Life Changes Questionnaire indicates high stress in a client’s lifeand
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susceptibility tostress-related physical and psychological illnesses.
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3. This is correct. Assessment is the first step in the nursing process. The nurse should assess
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theclient’s coping skills and availablesupport beforedetermining susceptibility to stress-
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related physical and psychological illnesses. A 6-month score
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, of300ormoreorayear-scoreof500ormoreindicateshighstressinaclient’s lifeand risk for
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significant stress-related physical and psychological illness.
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4. This is incorrect. Assessment is the first step in the nursing process. The nurse should
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assesstheclient’scoping skillsandavailablesupportbeforedetermining susceptibility to
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stress-relatedillness. A6-month scoreof300 ormoreorayear-scoreof500 ormore on the
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Recent Life Changes Questionnaire indicates high stressin a client’s lifeis susceptible to
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significant stress-related physical and psychologicalillness.
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CON:Stress b
2. Aphysicallyandemotionallyhealthyclienthasjustbeenfired.Duringaroutineofficevisit,hetells the
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bnurse, “Perhaps this was the best thing to happen. Maybe I’ll
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considerpursuingan art degree.” Thenurse determines the client perceivesthe stressorof his job loss as:
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Irrelevant
bHarmorloss
bThreatening
bAchallenge
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ANS:4 b
Chapter:Chapter1,TheConceptof Stress Adaptation
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Objective:Discussadaptivecopingstrategiesinthemanagement ofstress.Page:7
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Heading: Stress as a transaction between the individual and the environment
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>Individual’s Perceptionofthe Event >Primary AppraisalIntegrated Processes: Nursing Process:
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Assessment
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Client Need: Psychosocial Integrity CognitiveLevel:Application[Applying]Concept: Stress
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Difficulty: Easy
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Feedback
1. Thisisincorrect. Anirrelevant perception isonewherethe eventholdsnosignificance for the
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individual.
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2. Thisisincorrect.Aharm orlossappraisalreferstodamageorlossalreadyexperienced by
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the individual. b
3. Thisisincorrect. Athreatening appraisal is perceived as anticipated harms or losses.
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4. This is correct. The client’s statement indicates he perceives the loss of his job as a
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challenge andan opportunityforgrowth,demonstratedby hisstatementto consideran art
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degree.
CON:Stress b